Individual provider Active NPI

Tyerra Rippley

  • Private Vehicle
  • Dayton, OH
National Provider Identifier
1902677347
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
TM713414 Issued in OH
Practice address
3716 Saint James Ave
Dayton, OH 45406-2545
Phone
(937) 999-8099
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X TM713414 OH Primary

Addresses

Primary practice location

3716 Saint James Ave
Dayton, OH 45406-2545

Mailing address

3716 Saint James Ave
Dayton, OH 45406-2545
Phone (937) 999-8099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TM713414OHMDPrivate Vehicle

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Logistics LLC Private Vehicle CurrentSince Jan 21, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1902677347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 SAINT JAMES AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062545",
            "telephone_number": "937-999-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 SAINT JAMES AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062545",
            "telephone_number": "937-999-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPLEY",
        "first_name": "TYERRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-06-25",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "TM713414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.